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Imagine
being able to wake up and see the clock,
play sports, drive a car or go to a movie
without glasses or contacts. This new freedom
is possible with Laser Vision Correction.
Laser Vision Correction is the most technologically
advanced method in the world for correcting
your vision. It has been performed since
1987 and has been shown to produce very
predictable, stable results. The excimer
laser uses a cool beam of light to gently
reshape the front surface of the eye, the
cornea. The laser is so accurate that it
can remove 39 millionths of an inch of tissue
in 12 billionths of a second without damaging
surrounding cells.
Who
is a candidate?
Good candidates include
people who wear corrective lenses for nearsightedness,
farsightedness and astigmatism. You must
be 18 years of age and have had no change
in prescription in 12-18 months. People
with certain eye diseases such as glaucoma,
cataracts or corneal problems would not
be candidates. Some general medical conditions
may also prevent you from having laser vision
correction. A general eye exam is the best
way to determine whether or not you are
a candidate.
The
Procedure
LASIK (laser assisted
in-situ keratomileusis) is a painless outpatient
procedure which takes about ten minutes
per eye to perform. Only topical anesthetic
eye drops are used, no injection or general
anesthesia is given. Usually both eyes are
treated the same visit. An instrument called
a microkeratome is used to lift a thin layer
of the cornea called the flap which is temporarily
folded back. The laser then reshapes the
cornea in less than 60 seconds. The flap
is then replaced and self heals. Most people
see well immediately but some fluctuation
and fuzziness are normal. Some people report
a mild discomfort for the first day. Eye
drops are used for one week and clear shields
are worn at night for one week.
PRK
(photorefactive keratectomy) uses the same
laser but the treatment is performed on
the very front surface of the cornea and
no flap is created. This requires gently
removing the surface epithelium. The epithelial
layer will regenerate within three days
with the aid of a contact lens placed on
the eye after surgery. Drops are used for
three months after the procedure and the
best vision may not be noticed for up to
1-3 months. While still a very effective
procedure, PRK is not as widely performed
as LASIK due to the increased healing time.
Expectations
The goal of laser
vision correction is to reduce the dependence
on glasses or contacts. Most people achieve
20/20 vision or within 1-2 lines of 20/20
on the eye chart and can pass a driving
test. It is important to understand that
the goal is not 20/20 vision but functional
vision. A small percentage of people may
require a thin pair of glasses for night
driving. Patients over 40 can expect to
need reading glasses after LASIK because
it does not correct a condition called presbyopia.
Some people may require a touch up procedure
after three months to fine tune the initial
surgery to get the best result. The risk
of a serious complication is less than one
percent and no cases of blindness have been
reported after one million procedures worldwide.
At our office we strive to give you the
best vision possible in the safest manner.
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